@article{ref1,
title="Outcome evaluation of a public health approach to suicide prevention in an American Indian tribal nation",
journal="American journal of public health",
year="2005",
author="May, P. A. and Serna, P. and Hurt, Lance and DeBruyn, L. M.",
volume="95",
number="7",
pages="1238-1244",
abstract="OBJECTIVES: We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. METHODS: All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. RESULTS: Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=.001). CONCLUSIONS: Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success.",
language="",
issn="0090-0036",
doi="10.2105/AJPH.2004.040410",
url="http://dx.doi.org/10.2105/AJPH.2004.040410"
}